Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thidarat Jinakul Gaynor, PT

Individual provider Physical Therapist · NPI 1386534147

Thidarat Jinakul Gaynor, PT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Tmi East Inc, a 65-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1386534147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tmi East Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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